NPIMap

Organization Active NPI

South Central Behavioral Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Superior, NE
National Provider Identifier
1780776583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUTH CENTRAL BEHAVIORAL SERVICES
Practice address
520 East 10TH Street
Broadstone Memorial Hospital
Superior, NE 68978
Phone
(402) 463-5684
Fax
(402) 463-5686
NPI assigned
Sep 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gary W Henrie, LMHP MSW
Title
Ceo
Phone
(308) 237-5951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NE Primary

Addresses

Primary practice location

520 East 10TH Street
Broadstone Memorial Hospital
Superior, NE 68978

Mailing address

PO Box 1715
Kearney, NE 68848-1715
Phone (308) 237-5951

National Provider Directory

National Provider Directory
Tax ID family
South Central Services26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780776583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1715",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688481715",
            "telephone_number": "308-237-5951",
            "fax_number": "308-234-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 EAST 10TH STREET",
            "address_2": "BROADSTONE MEMORIAL HOSPITAL",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "68978",
            "telephone_number": "402-463-5684",
            "fax_number": "402-463-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENRIE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-237-5951",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHP MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.